Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | G20191 | CA |
NPI | 1144267519 |
---|---|
Provider Name | Charles Rossiter Kuehner |
First Address | Sacramento, CA 95819-3628 |
Second Address | Sacramento, CA 95819-3628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 08/07/2007 |